External Printer Options for the ZOOM LATITUDE ... - Boston Scientific

A Closer Look
SUMMARY
The Model 3120 ZOOM ® LATITUDE ®
Programmer Recorder Monitor
includes a built-in printer to print
reports / data from the implanted
pulse generator (PG). However, it
may be preferred to print reports on
conventional-sized paper, which can
be accomplished by using an external
printer.
This article focuses on printing to a
compatible optional external printer.
Products Referenced
Model 3120 ZOOM ® LATITUDE ®
Programmer Recorder Monitor (PRM),
ICDs, CRT-Ds, CRT-Ps and Pacemakers
in Tables 1 and 2
Products referenced herein may not be
approved in all geographies. For
comprehensive information on device
operation, reference the full instructions for
use found at: www.bsci.com/ifu.
CAUTION: Federal (U.S.) law restricts this
device to sale by or on the order of a
physician.
All graphics produced by Boston Scientific
Corporation, unless otherwise noted.
CRT-D: Cardiac Resynchronization Therapy Defibrillator
CRT-P: Cardiac Resynchronization Therapy Pacemaker
ICD: Implantable Cardioverter Defibrillator
S-ICD: Subcutaneous Implantable Defibrillator
Contact Information
Americas
(Caribbean, and Central, North, and South America)
www.bostonscientific.com
Technical Services
LATITUDE ® Clinician Support
1.800.CARDIAC (227.3422)
+1.651.582.4000
Patient Services
1.866.484.3268
Europe, Middle East, Africa
Technical Services
+32 2 416 7222
eurtechservice@bsci.com
LATITUDE Clinician Support
latitude.europe@bsci.com
Asia Pacific
Technical Services
+61 2 8063 8299
aptechservice@bsci.com
LATITUDE Clinician Support
latitude.asiapacific@bsci.com
japan.latitude@bsci.com (Japan)
© 2013 by Boston Scientific Corporation
or its affiliates.
External Printer Options for the
ZOOM ® LATITUDE ® Programmer
Compatible External Printers
Printers with the following specifications are compatible with the ZOOM LATITUDE
programmer:
• Manufactured by Hewlett-Packard, Brother, or Samsung
• Uses a PCL5 compatible language (PCL5, PCL5e, and PCL5c)
• Uses a parallel port connector or USB port connector. NOTE: The required
external connector type varies by pulse generator software application (Tables
1 and 2). Both connector types are required to be able to print externally to the
entire list of BSC products referenced.
Printers with other specifications may be compatible; however BSC has not
performed any additional compatibility testing.
Printing via an External Printer
To print via an external printer, the printer cable must be connected to the
appropriate connector on the left side of the programmer (Figure 1) and the printer
must be turned ON.
There are two options to print. Reports may be printed while actively interfacing with
the patient’s device, referred to as a ‘patient/disk session’ or reports may be printed
after the patient/disk session, through the Patient Data Management Utility.
While actively interfacing with the patients device, select Utilities/Print or the Print
icon or Reports > select External printer > select desired reports > select Print.
Table 1 shows the connector type required for each pulse generator family to print
to an external printer from within a patient/disk session.
Table 1. Print External by Connector Type - Patient/Disk Session
Family
Parallel Port USB None
EQUIO TM , ADVANTIO TM , INGENIO TM , VITALIO TM , FORMIO TM , INVIVE TM ,
INTUA TM , INLIVEN TM
X X
PUNCTUA TM , ENERGEN TM , INCEPTA TM , COGNIS ® , TELIGEN ®
ALTRUA ® , INSIGNIA ® , NEXUS ® , CONTAK RENEWAL® TR / TR2
VITALITY ® , VITALITY 2, VENTAK ® PRIZM ® , VENTAK PRIZM 2
CONFIENT ® , LIVIAN ® , CONTAK RENEWAL (3/4/4AVT ® ), VITALITY ® DR HE
Alternatively, if data has been saved to the programmer hard drive or to a USB pen
drive, printing to an external printer can be initiated from the Patient Data
Management Utility (Figures 2/3). From the programmer startup screen, select the
Patient Data Management Utility > Select the Print Tab > select patient records and
desired reports > select Print. Table 2 shows the connector type required for each
pulse generator family to print to an external printer from within the Patient Data
Management Utility.
Table 2. Print External by Connector Type - Patient Data Management Utility
Family
EQUIO, ADVANTIO, INGENIO, VITALIO, FORMIO, INVIVE, INTUA,
INLIVEN, ALTRUA, INSIGNIA, NEXUS, CONTAK RENEWAL TR / TR2
PUNCTUA, ENERGEN, INCEPTA, COGNIS, TELIGEN, CONFIENT, LIVIAN,
CONTAK RENEWAL 3/4, VITALITY DR HE, VITALITY, VITALITY 2, VENTAK
PRIZM , VENTAK PRIZM 2
PULSAR MAX ® , PULSAR MAX II, DISCOVERY ® , DISCOVERY II,
MERIDIAN ® , CONTAK RENEWAL 4AVT
X
Parallel Port USB None
X
X
X
X
May 15, 2013 002-1362, Rev. D, US Page 1 of 3

Frequently Asked Questions
Where do I connect the printer cable to the ZOOM LATTIUDE programmer?
A parallel port and two USB ports are located on the left side of the programmer. Select a printer cable and
corresponding port, depending on device family and print method chosen (see Figure 1 and Tables 1 / 2).
Figure 1. Left side of Programmer [1] On/Off button [2] External Printer Connector (Parallel port) [3] Two USB
ports
Which printer models have been tested and verified as compatible with the ZOOM LATITUDE programmer?
Contact Hewlett-Packard, Brother, or Samsung Customer Support. State that you need a printer with a PCL5
compatible print language, and connectivity via parallel port or USB. NOTE: The required external connector type varies
by pulse generator software application (Tables 1 and 2). Both connector types are required to be able to print
externally to the entire list of BSC products referenced.
Where do I access the Patient Data Management Utility?
The Patient Data Management Utility can be accessed from the programmer Startup screen (Figure 2). Printing is
accomplished by accessing the Print Tab (Figure 3).
Figure 2. Programmer Startup Screen
Figure 3. Patient Data Management Utility Print Tab
Does the ZOOM LATITUDE PRM support color printing?
No. The ZOOM LATITUDE PRM does not support printing in color.
Can an external printer be used while the software application is in Demo Mode?
Yes. If the PG software application has the ability to print externally (Table 1 / 2), it will print demo data while in Demo
Mode.
May 15, 2013 002-1362, Rev. D, US Page 2 of 3

Frequently Asked Questions
Does printing to an external printer meet electrical safety standards?
Boston Scientific Instructions for Use include the following precaution regarding optional external equipment (e.g.,
printers):
PRECAUTION: Although any optional external equipment connected to the programmer meets leakage-current
requirements for commercial products, it may not meet the more stringent leakage requirements for medical products.
Consequently, the external printing equipment must be kept outside the patient environment (at least 1.5 m [4.9 feet]
away from the patient). (Operator’s Manual ZOOM LATITUDE PRM 357435-094 EN).
Additionally, equipment connected to the external connections must comply with applicable standards (e.g., IEC/EN
60950-1 for data processing equipment and IEC/EN 60601-1 for medical equipment).
WARNING: The use of any cables or accessories with the programmer other than those specified by Boston Scientific
in the Instructions for Use (IFU) may result in increased emissions or decreased immunity of the programmer. Anyone
connecting such cables or accessories to the programmer may be configuring a medical system and is responsible to
ensure that the system complies with the requirements of IEC/EN 60601-1, Clause 16 for medical electrical systems.
If you require further assistance, contact Boston Scientific Technical Services.
May 15, 2013 002-1362, Rev. D, US Page 3 of 3

ZOOM ® LATITUDE ® Programming System from Boston Scientific
Intended Use
The Model 3120 Programmer/Recorder/Monitor (PRM) is intended to be used as a complete system to communicate with Guidant or Boston Scientific implantable pulse generators. The software in use
controls all communication functions for the pulse generator. For detailed software application instructions, refer to the System Guide for the Guidant or Boston Scientific pulse generator being
interrogated.
Contraindications
The Model 3120 PRM is contraindicated for use with any pulse generator other than a Guidant or Boston Scientific device. For contraindications for use related to the Guidant or Boston Scientific pulse
generator, refer to the System Guide for the Guidant or Boston Scientific pulse generator being interrogated.
Warnings
There are no warnings associated with this programming system.
Precautions
For specific information on precautions, read the following sections of the product labeling: General, Preparation
for Use, Maintenance and Handling.
Adverse Effects
None known.
Refer to the product labeling for specific indications, contraindications, warnings/precautions and adverse effects. Rx only.
(Rev. E)
CRT-D System from Boston Scientific – COGNIS ® or older
Indications and Usage
These Boston Scientific Cardiac Resynchronization Therapy Defibrillators (CRT-Ds) are indicated for patients with heart failure who receive stable optimal pharmacologic therapy (OPT) for heart failure
and who meet any one of the following classifications:
• Moderate to severe heart failure (NYHA Class III-IV) with EF ≤ 35% and QRS duration ≥ 120 ms
• Left bundle branch block (LBBB) with QRS ≥ 130 ms, EF ≤ 30%, and mild (NYHA Class II) ischemic or nonischemic heart failure or asymptomatic (NYHA Class I) ischemic heart failure
Contraindications
There are no contraindications for this device.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. For single patient use only. Do not reuse, reprocess, or resterilize. Program the pulse generator
Tachy Mode to Off during implant, explant or postmortem procedures. Always have sterile external and internal defibrillator protection available during implant and electrophysiologic testing. Ensure that
an external defibrillator and medical personnel skilled in CPR are present during post-implant device testing. Advise patients to seek medical guidance before entering environments that could adversely
affect the operation of the active implantable medical device, including areas protected by a warning notice that prevents entry by patients who have a pulse generator. Do not expose a patient to MRI
scanning. Do not subject a patient with an implanted pulse generator to diathermy, Do not use atrialtracking modes in patients with chronic refractory atrial tachyarrhythmias. Do not use atrial-only modes
in patients with heart failure. LV lead dislodgment to a position near the atria can result in atrial oversensing and LV pacing inhibition. Physicians should use medical discretion when implanting this device
in patients who present with slow VT. Do not kink, twist or braid the lead with other leads. Do not use defibrillation patch leads with the CRT-D system. Do not use this pulse generator with another pulse
generator. For Patient Triggered Monitor (PTM) feature, make sure the feature is enabled prior to sending the patient home with a magnet. Once the PTM feature has been triggered and the magnet
response programming is set to inhibit therapy, the patient should not reapply the magnet.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization, storage and handling; implant and device programming; follow-up testing;
explant and disposal; environmental and medical therapy hazards; hospital and medical environments; home and occupational environments. Advise patients to avoid sources of electromagnetic
interference (EMI) because EMI may cause the pulse generator to deliver inappropriate therapy or inhibit appropriate therapy.
Potential Adverse Events
Potential adverse events from implantation of the CRT-D system include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias,
lead or accessory breakage (fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability to provide therapy (shocks/pacing/sensing), infection, procedure related, and component failure.
Patients may develop psychological intolerance to a pulse generator system and may experience fear of shocking, fear of device failure, or imagined shocking. In rare cases severe complications or
device failures can occur.
Refer to the product labeling for specific indications, contraindications, warnings/precautions and adverse events. Rx only.
(Rev. R)
CRT-D Systems from Boston Scientific – PUNCTUA TM , ENERGEN TM , and INCEPTA TM
Indications and Usage
The PUNCTUATM, ENERGENTM, and INCEPTATM Cardiac Resynchronization Therapy Defibrillators (CRT-Ds) are indicated for patients with heart failure who receive stable optimal pharmacologic
therapy (OPT) for heart failure and who meet any one of the following classifications:
• Moderate to severe heart failure (NYHA Class III-IV) with EF ≤ 35% and QRS duration ≥ 120 ms
• Left bundle branch block (LBBB) with QRS ≥ 130 ms, EF ≤ 30%, and mild (NYHA Class II) ischemic or nonischemic heart failure or asymptomatic (NYHA Class I) ischemic heart failure
Contraindications
There are no contraindications for this device.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. For single patient use only. Do not reuse, reprocess, or resterilize. Program the pulse generator
Tachy Mode to Off during implant, explant or postmortem procedures. Always have external defibrillator protection available during implant and electrophysiologic testing. Ensure that an external
defibrillator and medical personnel skilled in CPR are present during post-implant device testing. Advise patients to seek medical guidance before entering environments that could adversely affect the
operation of the active implantable medical device, including areas protected by a warning notice that prevents entry by patients who have a pulse generator. Do not expose a patient to MRI scanning. Do
not subject a patient with an implanted pulse generator to diathermy, Do not use atrial-tracking modes in patients with chronic refractory atrial tachyarrhythmias. Do not use atrial-only modes in patients
with heart failure. LV lead dislodgment to a position near the atria can result in atrial oversensing and LV pacing inhibition. Physicians should use medical discretion when implanting this device in patients
who present with slow VT. Do not kink, twist or braid the lead with other leads. Do not use defibrillation patch leads with the CRT-D system. Do not use this pulse generator with another pulse generator.
For Patient Triggered Monitor (PTM) feature, make sure the feature is enabled prior to sending the patient home with a magnet. Once the PTM feature has been triggered and the magnet response
programming is set to inhibit therapy, the patient should not reapply the magnet. For DF4-LLHH or DF4-LLHO leads, use caution handling the lead terminal when the Connector Tool is not present on the
lead and do not directly contact the lead terminal with any surgical instruments or electrical connections such as PSA (alligator) clips, ECG connections, forceps, hemostats, and clamps. Do not contact
any other portion of the DF4-LLHH or DF4-LLHO lead terminal, other than the terminal pin even when the lead cap is in place.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization and storage; implantation; device programming; follow-up testing; explant
and disposal; environmental and medical therapy hazards; hospital and medical environments; home and occupational environments; and supplemental precautionary information. Advise patients to avoid
sources of electromagnetic interference (EMI) because EMI may cause the pulse generator to deliver inappropriate therapy or inhibit appropriate therapy.
Potential Adverse Events
Potential adverse events from implantation of the CRT-D system include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias,
lead or accessory breakage (fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability to provide therapy (shocks/pacing/sensing), infection, procedure related, and component failure.
Patients may develop psychological intolerance to a pulse generator system and may experience fear of shocking, fear of device failure, or imagined shocking. In rare cases severe complications or
device failures can occur.
Refer to the product labeling for specific indications, contraindications, warnings/precautions and adverse events. Rx only.
(Rev. B)
ADDENDUM TO: 002-1362, Rev. D, US
Most Current Brief Summaries found @ www.http://www.bostonscientific.com/

CRT-P System from Boston Scientific – Contak Renewal ® TR
Indications
The CONTAK RENEWAL TR pulse generator is indicated for patients who have moderate to severe heart failure (NYHA Class III/IV) including left ventricular dysfunction (EF ≤ 35%) and QRS duration ≥
120 ms and remain symptomatic despite stable, optimal heart failure drug therapy (as defined in the clinical trials section in the System Guide). These devices provide atrial-ventricular tracking modes to
help preserve AV synchrony and adaptive-rate pacing for patients who would benefit from adjusted pacing rates concurrent with physical activity.
Contraindications
These devices are contraindicated in patients who have a separate implanted cardioverter-defibrillator (ICD). Single-chamber atrial pacing is contraindicated in patients with impaired AV nodal conduction.
Atrial tracking modes are contraindicated for patients with chronic refractory atrial tachyarrhythmias (atrial fibrillation or flutter), which might trigger ventricular pacing. Asynchronous pacing is
contraindicated in the presence (or likelihood) of competition between paced and intrinsic rhythms.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. For single patient use only Do not reuse, reprocess, or resterilize. Such damage can result in
patient injury or death. Do not expose a patient to MRI device scanning. Do not expose a patient with an activated implanted pulse generator to diathermy. Do not use atrial-only modes in patients with
heart failure. The clinical outcomes for patients with chronic refractory atrial tachyarrhythmias are not fully known. Safety and effectiveness studies have not been conducted. If a chronic refractory atrial
tachyarrhythmia develops in a patient with these devices, do not use dualchamber or single-chamber atrial pacing. Left ventricular (LV) lead dislodgment to a position near the atria can result in atrial
oversensing and LV pacing inhibition.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization, storage and handling; implantation and device programming; pulse
generator explant and disposal; environmental and medical therapy hazards. Advise patients to avoid sources of electromagnetic interference (EMI) because EMI may cause the pulse generator to deliver
inappropriate therapy or inhibit appropriate therapy.
Potential Adverse Events
Potential adverse events include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias, lead or accessory breakage
(fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability to provide therapy (pacing/sensing), infection, lead tip deformation and/or breakage, procedure related, and component failure. In
rare cases severe complications or device failures can occur.
Refer to the product labeling for specific indications, contraindications, warnings/ precautions and adverse events. Rx only.
(Rev. M)
CRT-P Systems from Boston Scientific - INVIVE TM
Indications
The Invive cardiac resynchronization therapy pacemaker (CRT-Ps) is indicated for patients who have moderate to severe heart failure (NYHA Class III/IV) including left ventricular dysfunction (EF ≤ 35%)
and QRS duration ≥ 120 ms and remain symptomatic despite stable, optimal pharmacologic therapy for heart failure. Atrial tracking modes are also indicated for patients who may benefit from
maintenance of AV synchrony. Adaptive-rate pacing is indicated for patients exhibiting chronotropic incompetence and who would benefit from increased pacing rates concurrent with increases in physical
activity.
Contraindications
These devices are contraindicated in patients who have a separate implanted cardioverter-defibrillator (ICD). Single-chamber atrial pacing is contraindicated in patients with impaired AV nodal conduction.
Atrial tracking modes are contraindicated for patients with chronic refractory atrial tachyarrhythmias (atrial fibrillation or flutter), which might trigger ventricular pacing. Asynchronous pacing is
contraindicated in the presence (or likelihood) of competition between paced and intrinsic rhythms.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. For single use only. Do not reuse, reprocess or resterilize. Always have external defibrillation
protection available during implant and electrophysiologic testing. Do not use this pulse generator with another pulse generator. In response to applicable nonrecoverable or repeat fault conditions, the
pulse generator will switch irreversible to Safety Core operation. Do not kink, twist, or braid leads. Do not use atrial tracking modes in patients with chronic refractory atrial tachyarrhythmias. Do not use
atrial only modes in patients with heart failure. In devices with the lead safety switch programmed to On, the lead polarity will switch to unipolar in the presence of a lead impedance of ≤ 200 or ≥ 2000 Ω. If
programmed to a fixed atrial sensitivity value of 0.15 mV, the pulse generator may be more susceptible to electromagnetic interference. Advise patients to seek medical guidance before entering
environments that could adversely affect the operation of the active implantable medical device. Do not expose a patient to MRI scanning. Do not subject a patient with an implanted pulse generator
and/or lead to diathermy. Left ventricular (LV) lead dislodgment to a position near the atria can result in atrial oversensing and LV pacing inhibition.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization and storage; implantation; device programming; environmental and
medical therapy hazards; hospital and medical environments ; home and occupational environments; follow up testing; explant and disposal; and supplemental precautionary information. Advise patients
to avoid sources of electric or magnetic interference (EMI) because EMI may cause the pulse generator to deliver inappropriate therapy or inhibit appropriate therapy.
Potential Adverse Events
Potential adverse events include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias, lead or accessory breakage
(fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability to provide therapy (pacing/sensing), infection, lead tip deformation and/or breakage, procedure related, and component failure. In
rare cases severe complications or device failures can occur.
Refer to the product labeling for specific indications, contraindications, warnings/ precautions and adverse events. Rx only.
(Rev. A)
ICD Systems from Boston Scientific – PUNCTUA, ENERGEN, and INCEPTA
ICD Indications and Usage
PUNCTUA TM , ENERGEN TM , and INCEPTA TM ICDs are intended to provide ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular
arrhythmias.
Contraindications
Use of these ICD systems are contraindicated in: Patients whose ventricular tachyarrhythmias may have reversible cause, such as 1) digitalis intoxication, 2) electrolyte imbalance, 3) hypoxia, or 4)
sepsis, or whose ventricular tachyarrhythmias have a transient cause, such as 1) acute myocardial infarction, 2) electrocution, or 3) drowning. Patients who have a unipolar pacemaker.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the ICD system. For single patient use only. Do not reuse, reprocess, or resterilize. Program the pulse
generator ventricular Tachy Mode to Off during implant, explant or post-mortem procedures. Always have external defibrillator protection available during implant and electrophysiologic testing. Ensure
that an external defibrillator and medical personnel skilled in cardiopulmonary resuscitation (CPR) are present during post-implant device testing. Patients should seek medical guidance before entering
environments that could adversely affect the operation of the active implantable medical device, including areas protected by a warning notice that prevents entry by patients who have a pulse generator.
Do not expose a patient to MRI scanning. Do not subject a patient with an implanted pulse generator to diathermy. Do not use atrial tracking modes in patients with chronic refractory atrial
tachyarrhythmias. Do not use this pulse generator with another pulse generator. Do not kink, twist or braid lead with other leads. For Patient Triggered Monitor (PTM) feature, make sure the feature is
enabled prior to sending the patient home with a magnet. Once the PTM feature has been triggered and the magnet response programming is set to inhibit therapy, the patient should not reapply the
magnet. For DF4-LLHH or DF4-LLHO leads, use caution handling the lead terminal when the Connector Tool is not present on the lead and do not directly contact the lead terminal with any surgical
instruments or electrical connections such as PSA (alligator) clips, ECG connections, forceps, hemostats, and clamps. Do not contact any other portion of the DF4-LLHH or DF4-LLHO lead terminal, other
than the terminal pin even when the lead cap is in place.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization and storage; implantation; device programming; environmental and
medical therapy hazards; hospital and medical environments; home and occupational environments follow-up testing; explant and disposal; supplemental precautionary information. Advise patients to
avoid sources of electromagnetic interference (EMI).
Potential Adverse Events
Potential adverse events from implantation of the ICD system include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias,
lead or accessory breakage (fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability to provide therapy (shocks/pacing/sensing), infection, procedure related, psychologic intolerance to
an ICD system – patients susceptible to frequent shocks despite antiarrhythmic medical management/imagined shocking, and component failure. In rare cases severe complications or device failures can
occur.
Refer to the product labeling for specific indications, contraindications, warnings/ precautions and adverse events. Rx only.
(Rev. B)
ADDENDUM TO: 002-1362, Rev. D, US
Most Current Brief Summaries found @ www.http://www.bostonscientific.com/

ICD Systems from Boston Scientific –TELIGEN ®
ICD Indications and Usage
ICDs are intended to provide ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias. ICDs (i.e. Vitality AVT) with atrial therapies
are also intended to provide atrial antitachycardia pacing and atrial defibrillation treatment in patients who have or are at risk of developing atrial tachyarrhythmias.
Contraindications
Use of ICD systems are contraindicated in: Patients whose ventricular tachyarrhythmias may have reversible cause, such as 1) digitalis intoxication, 2) electrolyte imbalance, 3) hypoxia, or 4) sepsis, or
whose ventricular tachyarrhythmias have a transient cause, such as 1) acute myocardial infarction, 2) electrocution, or 3) drowning. Patients who have a unipolar pacemaker.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the ICD system. For single patient use only, Do not reuse, reprocess, or resterilize. Program the pulse
generator ventricular Tachy Mode to Off during implant, explant or post-mortem procedures. Always have external defibrillator protection available during implant and electrophysiologic testing. Ensure
that an external defibrillator and medical personnel skilled in cardiopulmonary resuscitation (CPR) are present during post-implant device testing. Patients should seek medical guidance before entering
environments that could adversely affect the operation of the active implantable medical device, including areas protected by a warning notice that prevents entry by patients who have a pulse generator.
Do not expose a patient to MRI scanning. Do not subject a patient with an implanted pulse generator to diathermy. Do not use atrial tracking modes (or an AVT device) in patients with chronic refractory
atrial tachyarrhythmias. Do not use this pulse generator with another pulse generator. Do not kink, twist or braid lead with other leads. For Patient Triggered Monitor (PTM) feature, make sure the feature
is enabled prior to sending the patient home with a magnet. Once the PTM feature has been triggered and the magnet response programming is set to inhibit therapy, the patient should not reapply the
magnet.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization and storage; implantation; device programming; environmental and
medical therapy hazards; hospital and medical environments; home and occupational environments follow-up testing; explant and disposal; supplemental precautionary information. Advise patients to
avoid sources of electromagnetic interference (EMI).
Potential Adverse Events
Potential adverse events from implantation of the ICD system include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias,
lead or accessory breakage (fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability to provide therapy (shocks/pacing/sensing), infection, procedure related, psychologic intolerance to
an ICD system – patients susceptible to frequent shocks despite antiarrhythmic medical management/imagined shocking, and component failure. In rare cases severe complications or device failures can
occur.
Refer to the product labeling for specific indications, contraindications, warnings/ precautions and adverse events. Rx only.
(Rev. Q)
Pacing Systems from Boston Scientific – INGENIO TM and ADVANTIO TM
Indications
Ingenio and Advantio indications include: symptomatic paroxysmal or permanent second- or third-degree AV block; symptomatic bilateral bundle branch block; symptomatic paroxysmal or transient sinus
node dysfunction with or without associated AV conduction disorders; bradycardia-tachycardia syndrome, to prevent symptomatic bradycardia or some forms of symptomatic tachyarrhythmias;
neurovascular (vaso-vagal) syndromes or hypersensitive carotid sinus syndromes. Adaptive-rate pacing is indicated for patients exhibiting chronotropic incompetence and who may benefit from increased
pacing rates concurrent with increases in minute ventilation and/or level of physical activity. Pacemakers’ dual-chamber and atrial tracking modes are also indicated for patients who may benefit from
maintenance of AV synchrony. Dual-chamber modes are specifically indicated for: conduction disorders that require restoration of AV synchrony, including varying degrees of AV block; VVI intolerance
(eg, pacemaker syndrome) in the presence of persistent sinus rhythm or low cardiac output or congestive heart failure secondary to bradycardia.
Contraindications
Pacemakers are contraindicated for the following patients under the circumstances listed: patients who have a separate implanted cardioverter-defibrillator (ICD); use of Minute Ventilation in patients with
both unipolar atrial and ventricular leads; single-chamber atrial pacing in patients with impaired AV nodal conduction; atrial tracking modes for patients with chronic refractory atrial tachyarrhythmias (atrial
fibrillation or flutter), which might trigger ventricular pacing; dual-chamber and single-chamber atrial pacing in patients with chronic refractory atrial tachyarrhythmias; asynchronous pacing in the presence
(or likelihood) of competition between paced and intrinsic rhythms.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. For single use only. Do not reuse, reprocess or resterilize. Always have external defibrillation
protection available during implant and electrophysiologic testing. Do not use this pulse generator with another pulse generator. In response to applicable nonrecoverable or repeat fault conditions, the
pulse generator will switch irreversible to Safety Core operation. Do not kink, twist, or braid leads. Do not use atrial tracking modes in patients with chronic refractory atrial tachyarrhythmias. In devices with
the lead safety switch programmed to On, the lead polarity will switch to unipolar in the presence of a lead impedance of ≤ 200 or ≥ 2000 Ω. If programmed to a fixed atrial sensitivity value of 0.15 mV, the
pulse generator may be more susceptible to electromagnetic interference. Advise patients to seek medical guidance before entering environments that could adversely affect the operation of the active
implantable medical device. Do not expose a patient to MRI scanning. Do not subject a patient with an implanted pulse generator and/or lead to diathermy.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: clinical considerations; sterilization and storage; implantation; device programming; environmental and
medical therapy hazards; hospital and medical environments ; home and occupational environments; follow up testing; explant and disposal; supplemental precautionary information. Advise patients to
avoid sources of electric or magnetic interference (EMI) because EMI may cause the pulse generator to deliver inappropriate therapy or inhibit appropriate therapy.
Potential Adverse Events
Potential adverse events include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, lead or accessory breakage (fracture/insulation/lead tip),
hematoma/seroma, inappropriate or inability to provide therapy (pacing/sensing), infection, procedure related, and component failure. In rare cases severe complications or device failures can occur.
Refer to the product labeling for specific indications, contraindications, warnings/precautions and adverse events. Rx only.
(Rev. A)
Pacing Systems from Boston Scientific ALTRUA ® and INSIGNIA ®
Indications
Pacemaker indications include: symptomatic paroxysmal or permanent second- or third-degree AV block; symptomatic bilateral bundle branch block; symptomatic paroxysmal or transient sinus node
dysfunction with or without associated AV conduction disorders; bradycardia-tachycardia syndrome, to prevent symptomatic bradycardia or some forms of symptomatic tachyarrhythmias; neurovascular
(vaso-vagal) syndromes or hypersensitive carotid sinus syndromes. Adaptive-rate pacing is indicated for patients who may benefit from increased pacing rates concurrent with increases in minute
ventilation and/or level of physical activity. Pacemakers’ dual-chamber and atrial tracking modes are also indicated for patients who may benefit from maintenance of AV synchrony. Dual-chamber modes
are specifically indicated for: conduction disorders that require restoration of AV synchrony, including varying degrees of AV block; VVI intolerance (eg, pacemaker syndrome) in the presence of persistent
sinus rhythm.
Contraindications
Pacemakers are contraindicated for the following patients under the circumstances listed: patients with unipolar pacing leads or in MV mode with an implanted ICD because it may cause unwanted
delivery or inhibition of ICD therapy; use of the MV sensor in patients with only unipolar leads, because a bipolar lead is required in either the atrium or the ventricle for MV detection (INSIGNIA® Plus,
ALTRUA® 20/40); MV mode in patients with both unipolar atrial and ventricular leads (INSIGNIA® Ultra, ALTRUA® 60); single-chamber atrial pacing in patients with impaired AV nodal conduction; atrial
tracking modes for patients with chronic refractory atrial tachyarrhythmias, which might trigger ventricular pacing; dual-chamber and single-chamber atrial pacing in patients with chronic refractory atrial
tachyarrhythmias; asynchronous pacing in the presence (or likelihood) of competition between paced and intrinsic rhythms.
Warnings
Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. For single use only-do not resterilize devices. Inappropriate sustained high-rate pacing occurred
in the PULSAR MAX clinical study in 5 out of 130 patients with MV ON, 4 to 14 days after implant. If sustained high-rate pacing could be of concern, consider programming a reduced Max Sensor Rate
or MV to Passive. These programming recommendations are intended to assure that MV calibration is evaluated and, if necessary, recalibrated (4 →ON) when the patient and pacing system have
stabilized post implant. Continued monitoring of the MV sensor performance should be performed at all follow-up visits until implant stabilization has occurred.
Precautions
For specific information on precautions, refer to the following sections of the product labeling: MV sensor calibration at implant; clinical considerations; sterilization, storage and handling; lead evaluation
and connection; implantation; programming and pacemaker operation; MV initialization; environmental and medical therapy hazards; elevated pressure; explanted pacemakers. Advise patients to avoid
sources of electric or magnetic interference (EMI). If the pacemaker inhibits or reverts to asynchronous operation at the programmed pacing rate or at the magnet rate while in the presence of the EMI,
moving away from the source or turning it off will usually allow the pulse generator to return to its normal mode of operation.
Potential Adverse Events
Potential adverse events include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, lead or accessory breakage (fracture/insulation/lead tip),
hematoma/seroma, inappropriate or inability to provide therapy (pacing/sensing), infection, procedure related, and component failure. In rare cases severe complications or device failures can occur.
Refer to the product labeling for specific indications, contraindications, warnings/precautions and adverse events. Rx only.
(Rev. Q)
ADDENDUM TO: 002-1362, Rev. D, US
Most Current Brief Summaries found @ www.http://www.bostonscientific.com/